NPIMap

Organization Active NPI

Savoy Medical Management Group, Inc.

Doing business as Savoy Medical Center

  • General Acute Care Hospital
  • Mamou, LA
National Provider Identifier
1255667002
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
673 Issued in LA
Legal business name
SAVOY MEDICAL MANAGEMENT GROUP, INC.
Doing business as
Savoy Medical Center
Practice address
801 Poinciana Ave
Mamou, LA 70554
Phone
(337) 468-0355
Fax
(337) 468-3342
NPI assigned
Oct 29, 2009
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael W. Johnson, CPA
Title
President
Phone
(337) 468-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 673 LA Primary

Addresses

Primary practice location

801 Poinciana Ave
Mamou, LA 70554

Mailing address

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-0355

Other identifiers 1

IdentifierTypeStateIssuer
1766062MedicaidLA

Other names 1

  • Savoy Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000726 LA Part A Provider - Hospital 1557403953 Practice locations: Mamou, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255667002. Details of each certification follow.

Hospital certification: CCN 190025

Legal name
SAVOY MEDICAL MANAGEMENT GROUP, INC
Doing business as
SAVOY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 31, 2025
Beds
60
Ownership / control type
Other
Most recent change of ownership
Jan 1, 2010 (6 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2010 in LA
Enrollment address
801 Poinciana Ave
Mamou, LA 70554-2243
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Savoy Medical CenterCCN 190025 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Rehab Physician Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael W Johnson Individual Corporate OfficerBoard of Trustees- President Or Nov 17, 2015
Vicky Hundley Individual Corporate DirectorBoard Member Jan 1, 2024
Town of Mamou Organization, Mamou, LA 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Operational/Managerial Control Jan 1, 2010 100%
Eugene Burge Individual Corporate DirectorBoard Member - Vice President Jan 12, 2022
Lovelin Poncho Individual Corporate DirectorBoard Member Mar 1, 2015
Thomas F Fuselier Individual Corporate DirectorBoard Member Jan 11, 2023
Brian D Denton Individual Corporate Director Sep 9, 2024
W-2 Managing EmployeeChief Executive Officer Sep 9, 2024
Francisco Cantu Individual Corporate DirectorBoard Member May 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

Affiliated clinicians 59

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 59

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1255667002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-0355",
            "fax_number": "337-468-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "70554",
            "telephone_number": "337-468-0355",
            "fax_number": "337-468-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVOY MEDICAL MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-468-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766062",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savoy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Savoy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mamou, LA

Sources for this page

Verify at the official NPI Registry.